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U. S . DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SETTLEMENT STATEMENT PAGE 2 L. Settlement Char es 700 . TOTAL SALES/BROKER'S COM. based on price 684566e4l % = Paid From Paid From Division of Commission line 700 as follows : Borrower's Seller's 701 t Funds At Funds At 702 • to Settlement Settlement 703 , Commission 12aid at Settlement 704 . to 800 . Items Payable In Connection With Loan 801 . Loan Ori 'nation Fee % t 802 . Loan Discount ° to 803 . Appraisal Fee to 804. Credit Roort to _ _805 . Lender's Inspection Fet, to 806 . MortQajze Insurance Application Fee to 807 . to 808 . to 809 . to 810. to 811 . to 812 . to 813 ,814 . to to 815 . to 900 . Items Required By Lender To Be Paid In Advance 901 . Interest from 5/20/200L to 6/ l /2003 /day 902 . Mortizage Insurance Premium for months to 903 . Hazard Insurance Premium for years to 904 , ears to 905 . years to 1000 . Reserves Deposited With Lender 100 1 Hazard insurance 1002 . Mortgage insurance monthsQ per month 1003 . Cijy propeMtaxes months@ 12er month 1004 . Counjy propgMtaxes months@ per month 1005 . Annual assessments month er month 1006 , months@ per month 1007, months month 1008 . monthsper month 1009 . 1100 . Title Charges 1101 . Settlement or closing fee to 1102 . Abstract or title search to 110 . Title examination to 1104. Title insurance binder to 1105 . Document re aration to 1106 . NotgU fees to 1107 . Attotne fees to includes above items numbers : 1108 . Title insurance to includes above items numbers : , 1109 . Lender's overage : Risk Premium INS AMT: 1110 . Owner's Covera e : Risk Premium INS AMT: 8 5 6 .41 Ing I II10a 1111 . to 1112 . to 1113 . to 1200 . Government Recordin and Transfer Charges 1201 . _ o 1202 . Cit /count tax/stam s • Deed • L-Morta e s S-Morta e s 1203 . State tax Stam s • Deed 480.2 • L- o aes -M rta e s 480 ,20 1204. Deed from Grand Harbor $ 10. 50 Clerk of Court 10. 50 1205 . Deed from Grand Harbor (S12 .676 . 29) Clerk of Court 22 & 90 1300 . Additional Settlement Charges 1301 . Surveyto 1302 . Pest Inspection to 1303 . Roof Inspectionto 13040 1305 , 2003 Real Prop Tax Escrow 1 / 1 -5/20/03 to Indain River Coun 190. 85 1306 . to 1307 . . _ to 1308. to 1309 . to 1400 . Total Settlement Charges (enter on lines 103 , Section J and 502, SectionK) 925.45 CERTIFICATION DATE: 5/20/21003 I have carefully reviewed the HUD - I Settlement Statement and to the best of my knowledge and belief, it is a true and accurate statement of all receip s and disbursements made on my account or by me in this transaction. I further certify that I have received a cop f the HUD - 1 Settlement Statement. Peter J. Henn, P. A. , a Florida corporation, as Trustee Indian River Coun o ' a, a politic ' 1 subdivision under that ertain Trust Agreement dated J me 20, 2002 of the State o rids By: Borrower B : 1� Peter J . Henn, Presidentv Seller Terrence O rien, Attorney Borrower Seller The HUD- 1 Settlement Statement which I have prepared is a true and accurate account of this transaction. I have caused the funds to be disbursed in accord- ance with this statement. HARBOR TITLE & ESCROW COMPANY I Settlement Agent 5/20/2003 Date WARNING : It is a ime to owtngly make false statements to the United States on this or any other similar form. Penalties upon conviction can include a fine and imprisonmen . or etails see: Title 18 U. S. Code Section 1001 and Section 1010. LANDSWA2